Social Investment & Donation Request Form

Social Investment & Donation Request Form

Project/ Activity Request Title*

Title of Donation/Sponsorship Request or Community Project Fund Project

Is this request for our Community Project Fund?*

If YES, you MUST attach the proper application forms, found on the Donation Website

Select

Tell us a bit about your Project/Activity*

Website

Requested By (Name)*

Requested By (Email)*

Requested By (Phone Number)*

Are you a Centerra Employee?*

Select

Amount Requested*

Multi Year?*

Multi-year funding requests will require further discussion with the Centerra team

Select or enter value

Date Requested*

Date of Project/Activity*

Community Impacted*

Select

Community Impacted (if not listed above)

Support Category*

Select or enter value

Has Centerra Contributed in the Past?*

Select

Brand visibility opportunities for Centerra?*

i.e. Logo placement, Sponsor recognition, Banners etc.

Additional Information you would like us to know?

File Upload*

Community Project Fund Applicants: Please include a PDF copy of your Community Project Fund application and budget.
Donation/Sponsorship: Please include a PDF copy of your letter for your project/activity.

Drag and drop files here or

Send me a copy of my responses

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